Organization
MORE HAIR EXTENSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA MCCLAIN (CERTIFIED HAIR LOSS SPECIALIST)
(323) 294-2548
Entity
Organization
Contact information
Practice address
4937 W SLAUSON AVE STE B2, LOS ANGELES, CA 90056-1600
(323) 294-2548
Mailing address
4680 W 63RD ST APT 5, LOS ANGELES, CA 90043-3544
(323) 294-2548
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KKI3443
CA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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